Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Frazier Clethon Wilson Jr., LISW, LADAC

Individual provider Clinical Social Worker · NPI 1972683894

Frazier Clethon Wilson Jr., LISW, LADAC is a Clinical Social Worker in Albuquerque, New Mexico. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
23
Licensed in
NM
In the registry since
2006
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

2418 Miles Rd SE
Albuquerque, NM 87106-3224
Phone: (505) 974-7602
Fax: (505) 842-1503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I-06709 (NM)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0093531 (NM)

Record details

NPI number1972683894
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW , LADAC
Sole proprietorYes
NPI enumeratedOctober 16, 2006
Last updated in NPPESDecember 7, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Albuquerque